Organization · Type 2 NPI
The Laughing Shark, Inc.
Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI number
1861928905
Active
Practice location
11212 N May Ave Ste 107
Oklahoma City, OK 73120
Mailing address
PO Box 20326
Oklahoma City, OK 73156-0326
Other practice locations
- 6418 N Santa Fe Ave Ste A, Oklahoma City, OK 73116-9130 · (405) 519-7471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1111 (OK) |
| Professional Counselor | 101YP2500X | 5258 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861928905
The Laughing Shark, Inc.'s National Provider Identifier is 1861928905, issued on May 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 8, 2020.